DR. MANISHA GHIMIRE M.D
NPI 1629410386
Hospitalist in Raleigh, NC
About Dr. Manisha Ghimire M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MANISHA GHIMIRE M.D (NPI 1629410386) is an individual hospitalist provider in Raleigh, North Carolina, licensed in North Carolina (2019-00110) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bethesda, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Manisha Ghimire M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Manisha Ghimire reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27610
- Reassigned Medicare billing, North Carolina enrollment
- 997 clinicians in this Medicare group
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 clinicians in this Medicare group
New York, NY 10168
- Reassigned Medicare billing, Colorado, District of Columbia, Georgia, Massachusetts, Missouri, North Carolina, Virginia, Washington and Wyoming enrollments
- Medicare enrollment name: Beluga Health P C
- 12 clinicians in this Medicare group
Oakland, CA 94607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Geniemd Medical Group Mo PC
- 62 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Manisha Ghimire's NPI number?
The NPI number for Manisha Ghimire is 1629410386. It was assigned to this individual provider in the NPPES registry on July 23, 2013.
Where is Manisha Ghimire located?
Manisha Ghimire practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-6835.
What is Manisha Ghimire's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Manisha Ghimire enrolled in Medicare?
Yes. Manisha Ghimire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Manisha Ghimire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manisha Ghimire reassigns Medicare benefits to 4 organizations: Wakemed Specialists Group, LLC (Raleigh, NC), Duke University Health System, Inc. (Raleigh, NC), Beluga Health PC (New York, NY) and Geniemd Medical Group, Mo, P.C. (Oakland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manisha Ghimire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Manisha Ghimire accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Manisha Ghimire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Manisha Ghimire was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Manisha Ghimire, M.D · NPI 1629410386
Hospitalist physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since July 23, 2013.
## Identity
- **NPI:** 1629410386 (Entity type: Individual)
- **Enumerated:** July 23, 2013
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2019-00110 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 NEW BERN AVE, Raleigh, NC 27610-1231
- **Phone:** (919) 350-6835
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Wakemed Specialists Group, LLC (NPI 1063077436, Raleigh, NC); Duke University Health System, Inc. (NPI 1477584894, Raleigh, NC); Beluga Health PC (NPI 1356055016, New York, NY); Geniemd Medical Group, Mo, P.C. (NPI 1639710643, Oakland, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629410386) · Data from the CMS NPPES public registry.